The prostate enlarges naturally with age and can obstruct the flow of urine. Treatment starts with lifestyle measures and medication; surgery is advised when symptoms persist, the bladder does not empty, or complications such as retention, stones or kidney strain appear.
Procedures we perform
- Enlarged Prostate (BPH)
- TURP
- Laser TURP
- BNI
Symptoms that need review
- Weak or interrupted urine stream
- Hesitancy — waiting before flow starts
- Frequent urination, especially at night
- Sudden urgency or leakage
- Feeling of incomplete emptying or acute retention
Common causes
- Age-related hormonal change after 50
- Family history of prostate enlargement
- Diabetes and metabolic syndrome
- Sedentary lifestyle and obesity
How we diagnose
- IPSS symptom score and clinical examination
- Uroflowmetry and post-void residual urine
- Ultrasound for prostate size and bladder changes
- Serum PSA to screen for prostate cancer
- Urine culture where infection is suspected
Treatment options
Medication
Alpha blockers and 5-alpha reductase inhibitors relieve symptoms in most early cases.
TURP
The gold-standard endoscopic removal of obstructing prostate tissue through the urinary passage.
Laser TURP / enucleation
Laser energy vaporises or enucleates tissue with less bleeding — suitable for larger glands and patients on blood thinners.
Bladder neck incision (BNI)
A small endoscopic incision for smaller prostates with a tight bladder neck.
Recovery
Hospital stay is typically one to two days with a catheter, removed before discharge or within 48 hours. Flow improves immediately; mild burning may last a week or two. Avoid straining and heavy lifting for three to four weeks.
Frequently asked
Information on this website is for patient education only and does not replace an in-person consultation. Treatment results vary between individuals and no outcome is guaranteed.